august 2014
Wellness For Life
Heal the World, One Baby at a Time
Learn More about World Breastfeeding Week Helping those with Aphasia Find Their Voice What Immunizations Do You Need?
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Changing the Experience of Surgery When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a range of gynecologic conditions. For generations, open surgery has been the standard approach to many gynecologic procedures and is still used today. With the da Vinci Robotic Surgical System, Dr. Van Riper operates through just a few small incisions. The da Vinci System features a magnified 3D highdefinition vision system and tiny-wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables Dr. Van Riper to operate with enhanced vision, precision, dexterity and control.
Dr. Van Riper has extensive experience using the da Vinci Surgical System. He is your trusted expert for minimally invasive surgery with a faster recovery time.
Pregnancy—Including High Risk • 3D Sonograms • Gynecology • Urogynecology Urinary Incontinence • Bladder Problems • Pap Smears/Physicals Menopausal Treatment • Tubal Ligation • Contraception Laproscopic Surgeries • da Vinci Robotic Surgical System Minimally Invasive Surgeries • Outpatient Hysterectomies
James Van Riper, D.O., FACOG Board Certified OB-GYN
Jackie Lehr, MSN, RNC Board Certified Nurse Practitioner
Accepting New Patients 410 N. Hancock • Odessa, TX 79761 432–337–4782
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Five distinctions.
AND YOU. Accelerating your healthcare career at Midland Memorial Hospital. The best place to advance your healthcare career—growing your skill set in an environment dedicated to excellence—is in your own backyard. Midland Memorial Hospital enjoys a proven track record of excellence in providing area residents with superlative healthcare—as evidenced by our: • Pathway to Excellence award from the American Nurses Credentialing Center (ANCC) • Center of Distinction Award for the Wound Management Center • Certification as a Stroke Center of Excellence • Designation as a Breast Center of Excellence by the American College of Radiology • Recognition as the only Certified Quality Breast Center in the Permian Basin from the National Quality Measures for Breast Centers Program (NQMBC). That’s five special distinctions. And that makes Midland Memorial Hospital the perfect place to start—or accelerate—your career. Join our team. We offer high rates per hour for resource teams, recruitment bonuses, plus a tuition assistance program that can potentially cover the costs of tuition and books. We even have scholarships available through Midland Memorial Foundation.
For more information, visit https://www.midland-memorial.com/careers
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Wellness For Life
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To advertise, contact Mary or Whitney at 432–550–7339 Publisher Mary Hunt, Ha! Publishing Editor Evangeline Ehl Publication Manager Mary Hunt Sales Mary Hunt, Whitney Smith Writers Kim Clinkenbeard, CPT, FNS; Joy Harriman; Wendy Hilliard; Ben McCampbell; Holly McElyea; Keliree Mitchell; Dennis M. Shaughnessy M.D. ABAM Photography Aphasia Center of West Texas, Gilda Stephens, Mark Swindler Design Sarah Fleck, Chantel Miller
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4 4 Alcohol: The Great Mimicker 7 Immunizations for Adults 8 Finding a Voice: The Aphasia Center of West Texas 10 Pool Party! 12 World Breastfeeding Week
19 Get Fit With Kim: Money, Time, and Calorie Saver: A Favorite Kitchen Tool 20 Woof Woof! The Dog Blog by Mindy 23 Health & Beauty: Are You Wearing Old Makeup? When to Throw Away Cosmetics 24 Recipe: PB&J Bites
The information in this magazine is not meant to treat, diagnose, prescribe, or cure any ailment. Always check with your physician before taking any products or following any advice you have read. Always consult your physician before you start, stop, or change anything that has been previously prescribed. All content herein is the property of Ha! Publishing and may not be reprinted or reproduced in any medium without the written permission of the publisher. Some art work is used at the sole discretion of the advertiser and is not created by Hunt Advertising.
ON THE COVER The World Alliance for Breastfeeding Action (WABA) has dedicated a week in August to educate the public about the benefits of breastfeeding: World Breastfeeding Week.
READ MORE ON PAGE 12 an apple a day august 2014
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Alcohol: THE GREAT MIMICKER by Dennis M. Shaughnessy M.D. ABAM
I
with alcohol problems, drinking may become t is estimated that about one-half of the American secretive. This is especially true among elderly population uses alcohol. Various estimates of individuals. This is well known to be the cause of the frequency of heavy alcohol use may be as frequent injury due to falling and other accidents at high as 6.8% of current use—defined as five home. Combinations of alcohol with other drugs or more drinks on the same occasion, on at least such as sedatives increase the risk of damaging side five of the last thirty days. Binge drinking, especially effects. It is often for this reason that medical help is among younger individuals ages 18–25, is steadily sought. In addition, many general health problems increasing, especially on college campuses. This is are either caused by frequently reflected in or aggravated by the the number of reported Alcohol use has been labeled “the great use of alcohol. For this motor vehicle accidents, many of which result in mimicker” in that it often is the cause of, reason, a careful and tragic deaths in this age or at least an aggravating factor in many accurate medical history is essential. It is very group. The estimates disease entities. important to note that of the cost of alcoholit is not necessarily how related problems much or how often one uses alcohol, but rather to society in terms of work time lost, associated what happens to an individual when they do drink. medical illness, and injuries ranges somewhere between $184 to $200 billion annually. Alcoholism, along with cardiovascular disease and cancer, are It is recognized and often suggested that “moderate” use of alcohol may have beneficial effects in the top three causes of death and disability in the reducing risks of heart, kidney, and cerebrovascular United States. disease. However, in our chemically-oriented society, it becomes a working hypothesis that if Although these facts are well-documented and “one is good, two ought to be better.” Consequently, frequently-cited, it is not uncommon for problems the notion of “moderate” use frequently becomes with alcohol use to be minimized or even ignored heavy, and higher rates of mortality and medical by many individuals, including health care providers. morbidity are seen. Among the many and myriad Often, because of the fear of the stigma associated
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health complications of alcoholism are such entities as hypertension; increased risk of oral, gastrointestinal, and breast cancer; pancreatitis, and, of course, liver problems, such as cirrhosis. For this reason, alcohol use has been labeled “the great mimicker” in that it often is the cause of, or at least an aggravating factor in many disease entities. Therefore, it is suggested that because of the great number of concurrent complications associated with alcohol use, that review of individual drinking patterns should become paramount importance in an individual’s historical medical review. The American Society of Addiction Medicine (ASAM) recommends that every medical specialty should have experience and training in recognition of, and brief intervention techniques to assist in diagnosis. All too often concern about regulation of other drugs has resulted in minimization of the problems associated with alcohol use. It is imperative to note that alcohol is in fact a drug and the arbitrary distinction of alcohol and drugs should be abandoned. Anyone who uses alcohol and
other drugs that target the reward system of the brain ought to be aware that he or she stands the risk of becoming addicted. This is independent of age, race or religious affiliation. Addiction is an “equal opportunity disorder” and it must be a consideration when one is undergoing evaluation for specific illness, and more importantly, as a preventive measure to ensure good health. Finding the right treatment for a person’s specific needs is essential. Substance abuse is not a “one size fits all.” At The Springboard Center, a community non-profit organization, all programs use treatments backed by scientific evidence. These may include behavioral, as well as holistic (yoga, meditation and equine) therapies, individual and family counseling, and the 12-step model. The staff is available to answer any questions 24 hours a day, seven days a week.
Are drugs or Alcohol destroying your life?
There is hope! Call today for help. Programs and services: • Medical detoxification • inpatient residential • intensive outpatient • Aftercare Program • family Program • Alumni Program
432–620–0255 • springboardcenter.org 200 corporate drive Midland, tX 79705
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You
Because of the generous donations from the community, the Permian Basin Rehab Center has completed construction on our new pediatric therapy gym. The pediatric gym is used with children who are on the autism spectrum, children with cerebral palsy, traumatic brain injury, developmental delay, spinal bifida, and any other physical or cognitive challenges. The pediatric gym is designed to help a child gain coordination, increase gross motor skills, improve motor planning, develop core strength, and acquire confidence in their achievements.
620 N. Alleghaney Odessa, TX 79761 432–332–8244 fax 432–580–7428 connectedtoyou.org
The new pediatric gym is a wonderful childfriendly environment that will make a patient comfortable while working on therapy goals to learn skills lost to an accident or achieve goals that once seemed impossible. Our therapists and their patients thank the community for making their dream become a reality.
by Ben McCampbell
I
’ll bet you think that once you got past childhood that all those shots you had to have for immunizations against almost every dread disease you could think of were over with. Nope. Now granted, most folks have gotten used to the temporary discomfort of the annual flu shot; it’s nice knowing that you probably won’t get that justwant-to-lay-down-and-die feeling you have when you’re first coming down with the flu. But there are a lot of other immunizations that you need as an adult. It would be a good idea to ask your medical provider about them. Why do you need immunizations as an adult? Lots of reasons. Despite huge strides in eradicating disease, there are still vaccine-preventable diseases out there, so vaccines can really be the difference between life and death. Every year, about 50,000 Americans die from diseases that could have been prevented by vaccination. Like regular exercise and sensible diet, vaccines help keep you healthy. Vaccines are safe; they won’t give you the disease they’re designed to protect against. And immunization doesn’t just keep you healthy; it helps keep those close to you healthy also. Let’s look at the immunization that is most frequently in the news. Almost every fall you’ll hear news stories about the upcoming flu season and that getting your flu shot is important. One reason for this is that
the flu vaccine changes every year. Why? Because influenza is caused by not just one, but three types of viruses (A, B, and C, and subtypes of those), and the viruses are always evolving (e.g., the H1N1 version is a new one; it first appeared in 2009). This dilemma makes the scientists’ job of concocting the vaccine for the upcoming season really difficult; it’s an educated guess of which strain of flu is going to be the biggest threat.
Immunization doesn’t just keep you healthy; it helps keep those close to you healthy also.
And it’s important, because the flu can be deadly, particularly for the very young and the very old. Deaths from influenza average about 24,000 annually, but individual year totals vary greatly. (It depends on who you ask and how it’s figured.) When the scientists guess the vaccine correctly, as few as 3,000 Americans die annually from the flu, but when the guess is wrong, as many as 48,000 may lose the fight. So go ahead, get your flu shot. Or, if you’re between 2 and 49 years old, you can probably avoid the injection and get your flu immunization in nasal spray form. Another immunization you need is commonly called Tdap. It protects against tetanus (“lockjaw”), diphtheria, and pertussis (whooping cough). You can get tetanus from puncture wounds, compound fractures, and animal bites, among other causes. The bacteria that causes it is found in the soil and animal feces. Diphtheria is rare in the U.S., but still occurs in developing nations. There is still some concern about pertussis in this country; the vaccine eventually wears off, and people who were vaccinated many years ago could be
Continued on page 15 an apple a day august 2014
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Finding a Voice The Aphasia Center of West Texas by Joy Harriman
Imagine, knowing exactly what you want to say, but being unable to get the words out.
W
hen a brain injury or a stroke damages your ability to use or understand language, so much more is lost than words and sentences. Being able to communicate is everything. What do you do when you can’t use speech or language?
People with aphasia don’t literally lose their voice— but they have difficulty retrieving words, placing words in the right order, trouble understanding speech, or difficulty with reading and writing. They haven’t lost their intellect, but the misperception is often that aphasics are mentally challenged because they can’t communicate normally. People with aphasia have speech problems. They may have trouble finding the right word, saying more than one word or phrase at a time, or speaking at all. This type of aphasia is called nonfluent aphasia: they may or may not understand
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what another person is saying to them or they may not be able to speak.
Another kind of aphasia is fluent aphasia: they may be able to put many words together but what is said may not make sense. They are often unaware that they are not making sense. People who have either kind of aphasia may become frustrated when they realize others can’t understand them, when they can’t understand others, or when they can’t find the right words. Aphasics are intelligent, competent adults trapped by a condition few people understand. Because it impacts speaking, reading, and writing, the devastating effect is lost self-expression and meaningful social connection. They can’t interact with others. People with aphasia lose their careers, dreams, and often self-esteem. The Aphasia Center of Texas is working to transform that dark picture. Aphasia affects about 2 million Continued on page 16
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For a free physician referral or for more information about our screenings and seminars call 432-582-8677 520 East Sixth • Odessa • odessaregional.com
POOL PARTY! by Wendy Hilliard
A
ugust arrives and it’s back to school and homework. Store shelves are stocked with all the accoutrements of education. Gone are beach balls and pool noodles. But fear not, summer lovers, the party is just getting started at the Odessa Family YMCA. On July 1st, the Odessa Family YMCA unlocked the doors to the new multipurpose aquatic center. The pool’s expansive overhead doors were raised, allowing a cool breeze and bright sunlight to flow through the natatorium. Within minutes the pool lived up to its name. Youngsters slid down and splashed around a frog slide, and as a member swam his laps, an aquacize class was in session. It was perfect, almost. Only one element was missing. “We want to offer the community a year round aquatic party center,” said CEO Edward Moreno. “We’re adding a pool patio with a six-foot fence, a canopy, a non-slip floor, and four picnic tables. Two of the tables will be ADA (Americans with Disabilities Act) approved.”
The demand for such a venue is so great, that several days before the pool was even accessible, Odessa Family YMCA Office Manager Heather Solis was already receiving calls to rent the facility. “A week before the pool opened four people called wanting to schedule parties. One mom wanted to book it for May of next year,” Solis said. New Aquatic Director Steve Talbot has also been inundated with requests to reserve the new facility. “I must get at least 10 people a day asking me about renting the pool for parties. Once we get the patio completed, it’s on! BYOC—Bring your own cake,” Talbot said. Designed specifically with safety in mind, the YMCA pool pavilion offers a self-contained, lowmaintenance place for birthday parties. “Birthday parties in the past included the childcare after school room. Swimming first, then cake and drinks were served in the other room. By Monday morning toys and books would be misplaced or missing. We also had a lot of issues with the clean-up,” Talbot said. Past YMCA Aquatic Director Peggy Cameron remembers those party days well. “Originally we used to do it all. We would provide the birthday cake, punch, and paper goods. We called it the ‘worry-free party.’ It was nice for the families but hard on us.”
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Rare is the party that is worry-free. However, Moreno believes he can ease at least one concern, the cost. “We are still determining what the exact rates will be—but we will offer different party packages. We will have a basic rate and offer upgrades similar to the ‘worry-free parties’ we used to host. Parties will be scheduled in two-hour blocks, any parties exceeding two hours will significantly increase in price,” Moreno said. Higher-tiered packages would include private parties, hosted after normal pool hours on Saturday and Sunday. A more modest party would be during normal pool hours and include exclusivity of the patio. Whether you’re bringing your own cake, lounging on the patio, or having a private shindig, Talbot offers a couple of important rules. “No alcohol is allowed, and people can bring their own music as long as there are no explicit lyrics.”
Inevitably the season changes, bringing cooler temperatures and occasionally snow, but don’t be too hasty to stow away that swimsuit. “In winter we can offer the patio rental as weather permits. When it’s too cold to open the overhead doors we will still offer parties, but until we have a suitable location to accommodate food and beverages, they will be swim-only parties,” Moreno said. For more information about the new Aquatic Center, contact the Odessa Family YMCA at 432–362–4301.
for youth development for healthy living for social responsibility
experience fitness at the odessa family ymca • Latest equipment and technology • Nursery care for members • Certified instructors and personal trainers • Fun classes to fit your schedule • No initiation fees or contracts 3001 e. university odessa, tx 79762 432–362–4301 • www.odessaymca.org
World Breastfeeding Week by Holly McElyea
W
hen you were just a little baby, your dad and I thought you were going to die of starvation,” my mother expresses to me at the dinner table in a very serious “Mom” voice. “I wasn’t able to breastfeed you during that time (1981) because I had to go back to work pretty soon after your birth, so I relied on formula. But, you couldn’t keep any of it down. You threw it up almost immediately every time.” My mom’s voice begins to tremble and I can see slight tears welling up in her eyes as she dazes off into the terrifying memory of her sick daughter getting thinner and thinner, crying almost constantly with want of food. And after the headache my parents went through to get me to eat, do you know what saved me? “Regular old vitamin D milk,” my mom relays. “I finally had enough seeing you starving and in pain, so I said ‘to hell with it’ and heated up some vitamin D milk in a bottle and fed it to you. And lo and behold, you drank and drank and drank, and most importantly, kept it down.” Serious conversations like this rarely happen at our dinner table, but this one I’ve heard numerous times. It made a huge impact on my parents, as it would any parent seeing their child suffer, feeling helpless to stop it. Over the years, while battling my own health issues, sometimes I wonder if things would have been different if my mother could have breastfed me. Would I have turned out any differently? Would I be healthier now? Smarter? Stronger? Would it matter at all? Breastfeeding advocates from around the globe claim it does 12 august 2014 an apple a day
matter. Anthelem Brillat-Savarin wrote so long ago, which we’ve translated from French and interpreted to mean “you are what you eat.” And for babies, breast milk coalitions say, the breast is best. THE BREAST QUEST August is not only the month of back-to-school transition time, it’s also a month to go back to the basics of our nourishment as babies. For 22 years, the World Alliance for Breastfeeding Action (WABA) has dedicated a week in August to educate the public about the benefits of breastfeeding: World Breastfeeding Week. Each year, this week is centered around a unique theme in which events are held in communities around the world. This year’s festivities will be held during the week of August 1–7th and will showcase the theme, “Breastfeeding: A Winning Goal—for Life.” At first glance, I thought this theme might have been chosen to correlate with the 2014 World Cup action watched this summer, but the theme digs deeper than a simple goal scored at a soccer match. According to the WABA, this year’s theme is more important than most due in part that it’s addressing the Millennium Development Goals (MDGs) that were adopted at the Millennium Summit in 2000 by governments and the United Nations to “fight poverty and promote healthy, sustainable development by 2015.” It’s nearly 2015, and the clock is ticking away to achieve the goals, analyze where we are and where we need to go from here. That’s why the WABA is specifically “highlighting that achieving the MDGs requires
more early, exclusive and continued breastfeeding.” By pledging to breastfeed babies exclusively until six months of age, many of the MDGs could be achieved easy-peasy-boobie-squeezy. But what are the MDGs? And how does breastfeeding support them?
international code was set in place to regulate the market of breastmilk substitutes. All formula labels have to state the benefits of breastfeeding and the health risks of using substitutes. But why are laws even needed? Breastfeeding had become a lost art for a time, with many mothers choosing to formula feed, so legal action was taken in order to prompt new interest in it.
THE MAIN SQUEEZE Achieving any long-term goal can be quite chalMarla Renfro, an international board certified laclenging and demanding, but many would say the tation consultant/RLC pay off is gold. In the and registered nurse at case of breastfeedMedical Center Hospiing, the payoff is liquid tal with 17 years expegold called colostrum, rience under her belt, which is defined as has stated that recently, “fluid produced by the over 70% of mothers mammary glands at the who have their baby at time of parturition that MCH choose to breastis rich in antibodies and feed their babies in the minerals.” According to first few days at the hosexperts, breastmilk is pital, but that percentgood for moms, dads, age drastically declines babies, and our world Gilda Stephens. Used with permission. after they leave. Accordin general. By feeding a ing to Renfro, mothers baby breastmilk, moms Babies who drink breastmilk start with high expeccan burn calories, dehave a reduced risk of tations for themselves velop a special bond developing infections, stomach and how breastfeeding with their baby, protect will be; imagining it unthemselves against canproblems, allergic reactions, problematic. However, cer and diabetes, and asthma, childhood leukemia, once problems arise, save money. Babies obesity and diabetes. like latching issues or a who drink breastmilk mother’s concern that have a reduced risk of their baby isn’t receiving enough milk, bottle feeddeveloping infections, stomach problems, allergic ing with substitutes becomes the go to. Also, breastreactions, asthma, childhood leukemia, obesity and feeding in public can be an issue for some mothers, diabetes. Also, mothers who breastfeed “transmit or for the public at large. Breastfeeding in public is their immunities” to the baby. Some even believe protected by law in all 50 states, but that doesn’t this natural nectar may give babies higher IQs. stop people from complaining about it, if they feel Experts claim that breastfeeding helps our world seeing breasts in the public forum offensive. Renbecause breastmilk is a natural resource; the gift fro claims mothers are already unsure about what that keeps giving. Check out more information they’re doing with regards to nursing and when about the benefits of breastfeeding and how they people frown upon it, it only compounds the issue. relate to the MDGs on page 18. You can also visit Breastfeeding is a lot harder than it seems and www.worldbreastfeedingweek.org to print out women need support to keep it up. That’s where your own copy, as well as other important docua lactation consultant, like Renfro, comes into ments about breastfeeding. play. Some of her many duties include providing breastfeeding classes, which are online, mother-toWHY STAY BOTTLED UP? mother support groups like the Baby Café, overExperts have been so convinced about the benefits of breastmilk that several laws have been set into place to protect it. According to WABA, in 1981 an Continued on page 18 an apple a day august 2014 13
Welcome Dr. Ritchie O. Rosso Jr. Dr. Robert L. Chappell Jr. welcomes Dr. Ritchie O. Rosso Jr. as his new associate. Dr. Rosso is originally from Virginia and received his M.D. with distinction from the University of Virginia. He then completed a clinical research fellowship at the National Institutes of Health, followed by an internship in Internal Medicine at St. Lukes-Roosevelt Hospital Center in New York City. He completed his dermatology residency with a focus in dermatological surgery at the University of Miami in Miami, FL. Dr. Rosso specializes in the diagnosis and treatment of skin cancer, including Mohs surgery. He also has a focus in cosmetic dermatology including laser resurfacing, fillers, and other specialized procedures. Dr. Robert L. Chappell, Jr., M.D., PA
Ritchie O. Rosso Jr., M.D.
2487 E. 11th Street Odessa, TX 79761 432–580–6605
Continued from page 7 susceptible to the disease. Adults need a Td booster every 10 years. And it’s important to get the Tdap shot at least two weeks before having close contact with a baby. Pneumonia is another disease which adults, especially those 65 and older, should be immunized against. The vaccine doesn’t necessarily prevent the disease, but it can prevent some of the potentially serious complications. People at high risk usually need more than one dose. Those include persons from ages 2 to 64 who have a chronic disease, people ages 19 to 64 who have asthma or smoke cigarettes, and those ages 19 and up who have immune system problems, cochlear implants, or no spleen.
Every year, about 50,000 Americans die from diseases that could have been prevented by vaccination.
Did you have chickenpox (varicella) when you were a kid? If so, then the virus that causes shingles (herpes zoster) is still in your body, lying inactive in nerve tissue near your spinal cord and brain. It can reactivate as shingles, and it’s no fun. Shingles generally attacks only one side of your body, and you may feel pain, burning, numbness, or tingling. Then a red rash may appear in a few days, with blisters that break open, crust over, and itch. Adults 60 and over should get this vaccination, and those in their 50s should consider it. Speaking of chickenpox, if you’ve never had it, you should get immunized. It’s more serious when it occurs after childhood. In case you wondered, the shingles and chickenpox vaccines are not the same. There are two kinds of hepatitis that can be vaccinated against—hepatitis A and hepatitis B. Type A is typically contracted when basic sanitation has been compromised, such as when a restaurant employee doesn’t adequately wash his/her hands after using the bathroom. Hepatitis B is transmitted via exchange of bodily fluids through sexual contact and other means, such as the sharing of needles among injection drug users. Diabetics ages 19 to 59 should get the Hep B vaccine; there is a combination vaccine for both types of hepatitis.
Most of the above immunizations are indicated for adults of all ages or 50+ adults. There are a few vaccines which are indicated for young adults. One shot protects against measles, mumps, and rubella (German measles). This immunization is recommended for adults up to the age of 55. Another pair of vaccines (Cervarix and Gardasil) guard against the human papillomavirus (HPV), of which there are more than 100 strains. HPV causes warts in various areas of the body (genital, hands and feet, face, etc.). It also causes cervical cancer. Conventional wisdom recommends HPV immunization for young adults, but recent research indicates that the incidence of HPV in older adults is increasing. For students going off to college, there are specific immunizations that are recommended, and some colleges require them. The meningococcal conjugate vaccine protects against meningitis and blood infections (sepsis). (Adults of any age who have a damaged or missing spleen also need this vaccine.) College-bound students should also be vaccinated against hepatitis B and should get the Tdap vaccine against tetanus, diphtheria, and pertussis (whooping cough). In most developed countries (Canada, Australia, New Zealand, Japan, western and northern Europe), the risk of exposure to serious diseases is no greater than in the United States. But if you’re going to be traveling in most parts of Africa, Asia, and many parts of Central and South America, particularly in areas with poor sanitation (such as poor water and food handling), you should consider other immunizations. You may need the yellow fever vaccine for travel to South America or Africa. The typhoid and hepatitis A vaccines may be recommended also. The need for certain immunizations while traveling depends on one’s immunization history, the region to be visited, the time of year, the length of stay, and whether there have been recent outbreaks of disease there. Visiting remote areas can also increase the risk of exposure. Vaccines aren’t just for kids. Adults, both young and old, also need to keep current with immunizations. Doing this is really simple; just keep them up to date as part of your regular visits with your health care provider. You’ll be healthier the rest of your life. an apple a day august 2014 15
program. This “silver lining” assists those with aphasia and their families as they receive professional information about what they face, build a network of others who have adapted to living with aphasia, and provide on-going activities where those with aphasia get back to living life again.
Stroke survivors rate their experience at the Aphasia Center of West Texas Continued from page 8 Americans, or 1 in every 250 people. It is more common than Parkinson’s disease, multiple sclerosis, cerebral palsy, or muscular dystrophy. According to the National Aphasia Association, more than 100,000 will acquire the disorder in the coming year; thirty percent of stroke survivors will acquire life-long aphasia. Fortunately West Texas has generously supported the Aphasia Center of West Texas in Midland and helped them serve this ongoing community need. The outcome of aphasia is difficult to predict due to the wide range of variability of the condition. Generally, people who are younger or have less extensive brain damage repair better. The location in the brain of the injury is very important and is another clue to prognosis. Patients tend to recover skills in language comprehension more completely than those skills involving expression. A SILVER LINING Aphasia is a chronic disorder. It will not be “cured” by the end of rehabilitation therapy. Patients and families understandably get a little panicky when they realize there is no planned “next step” ahead. The Aphasia Center offers hope to patients and families through their innovative community 16 august 2014 an apple a day
The “Life Participation Approach to Aphasia” (LPAA) is the cutting edge, innovative, and holistic approach to successfully living with aphasia. This philosophy focuses on re-engagement in life activities and a variety of stimulating, everyday activities within an adaptive setting regardless of speech or physical impairment. With the support of peers, staff, and volunteers, each program the Center offers focuses on re-engagement in life’s interactions and activities to achieve overall wellbeing. No longer is rehabilitation determined by insurance limitations; recovery is driven by the hopes, goals, and interests of the patient. Leaders in the field are now focusing on speaking, reading, and writing as well as on functional and daily outcomes from one’s home, neighborhood/ community involvement, the ability to participate in friendships, engage in hobbies, and deal with selfperceptions and the attitudes of others. The mission of the Aphasia Center is to remove the barriers that prevent people with aphasia from participating in life’s interactions and activities. For example: someone with aphasia might not be able to verbally answer a friend asking, “Where would you like to go to lunch?” But a photo of favorite restaurant signs uploaded to an iPhone would allow an aphasic to communicate their choice in a clear way. An Aphasia Center member couldn’t drive and was afraid to use city transportation. Aphasia Center staff got on the bus with him and made a photo of
each next stop. Those photos were placed in order on a key ring. Now he can travel with confidence. The Center helped him build an adaptive tool that makes a positive daily difference in his life. The Aphasia Center is proud to be one of 13 centers in North America and part of a movement worldwide to provide real tools for those with aphasia to live an active life of dignity and engagement. Rocco Rossi, CEO of the Heart and Stroke Foundation of Ontario, said, “What we need aren’t just stroke survivors, but stroke thrivers.” For more information: Beth Crawford, M.S., CCC/SLP Aphasia Center of West Texas www.AphasiaWTx.org • 432–699–1261
SERVICES & PROGRAMS Living Well with Aphasia: A four-week course offering caregivers, friends, families, and those with aphasia a practical communication training course to lessen their daily frustrations. Plus they provide candid information about what to expect for the future. The month-long course costs $350* including lunches for two each week plus all resource materials. Call 432–699–1261 for dates for the start of a four-week course. Community Classes: Offer daily activities: conversation groups, computer lab, gardening, fine art, book club, and more. All activities are within an adaptive environment specifically designed for people with aphasia. Individuals from surrounding communities are welcome to participate as well as those from the Midland/Odessa area. Community Classes cost $150 per month.* Custom Trainings: For every life interrupted by aphasia, there are family and friends who are profoundly impacted. From church and social groups, out of town relatives, the local Girl and Boy Scouts, the customer service teams in local retail stores, and the local pharmacists, the Center offers training that will dramatically improve communications between the person with aphasia and anyone who crosses their path.
IMPROVING DAILY COMMUNICATION There are many ways to help a person with aphasia. Be sensitive to noise. Turn off competing sounds like radios, TV, or appliances or move to a quieter room. Keep distractions and noise down. Wait, give them time to speak. Resist the urge to finish sentences or offer words unless you get a clear signal that your suggestion is welcome. Talk to people who have aphasia in adult language. Don’t make them feel as if they are a child or pretend to understand them if you do not. Don’t shout if they can’t understand you. Unless they also have a hearing problem, shouting will not help. Keep your own voice at a normal level. Make eye contact. When you ask questions ask them in a way that can be answered with a simple “yes” or “no.” Confirm that you are communicating successfully. Verify that your partner uses “yes” and “no” consistently; then use yes/ no questions to check key points. Be open to different ways of getting and sending messages. Consider drawings, gestures, writing, and facial expressions. Your shared understanding is more important than perfect grammar. You can encourage the person with aphasia to communicate by pointing, hand gestures, or drawings. Always try to keep the person with aphasia involved in conversations using adaptive communication techniques. Make sure someone with aphasia carries an ID card with emergency contact information as well as a definition of aphasia and best communication techniques.
*Sliding fees and scholarships are available.
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Continued from page 13 seeing community-based lactation support centers, and hospital-based follow up and support services. She speaks highly of the fact that MCH is a Texas Ten Step hospital. There are ten steps critical to ensuccessful breastBreastfeeding sure feeding, and MCH is in public is making sure every step protected by is in place. Before Renlaw in all fro retires, she’d like to 50 states. begin the framework for establishing MCH as a Baby-Friendly Hospital. For more information about the Texas Ten Step Hospital and Baby-Friendly Hospital Initiatives, you can go to the World Health Organization website. LATCH ON Renfro and other breastfeeding advocates, such as the Permian Basin Breastfeeding Coalition, have already planned events for the West Texas area to stimulate interest in this juicy topic. On August 2nd, The Global Latch On will be held at the Midland WIC where women are encouraged to come together and breastfeed at the same time. Also, on August 7th from 6 pm to 8 pm, the Permian Basin Breastfeeding Coalition will host the 2nd Annual Breastfeeding Photo Exhibit at MCH Center for Women & Infants. If you’re looking for more information about these events or breastfeeding in general, visit www.worldbreastfeedingweek.org, or search for, and like the Permian Basin Breastfeeding Coalition on Facebook. These organizations are totally pumped up about this week in August and want to show you why “every ounce counts.”
MILLENNIUM DEVELOPMENT GOALS 1. Eradicate extreme poverty and hunger Exclusive breastfeeding, and continued breastfeeding for two years and beyond, provide high quality nutrients and adequate energy, and can help prevent hunger and malnutrition. Breastfeeding is a natural and low-cost way of feeding babies and children. It is affordable for everyone and does not burden household budgets compared to artificial feeding. 2. Achieve universal primary education Breastfeeding and adequate complementary feeding are fundamentals for readiness to learn. Breastfeeding and good quality complementary foods significantly contribute to mental and cognitive development, and thus promote learning. 3. Promote gender equality and empower women Breastfeeding is the great equalizer, giving every child a fair and best start in life. Most differences in growth between sexes begin as complementary foods are added into the diet, and gender preference begins to act on feeding decisions. Breastfeeding is uniquely a right of women and they should be supported by society to breastfeed optimally. 4. Reduce child mortality Infant mortality could be readily reduced by about 13% with improved breastfeeding practices alone, and 6% with improved complementary feeding. In addition, about 50–60% of under-5 mortality is linked to malnutrition, due to inadequate complementary foods and feeding following on poor breastfeeding practices. 5. Improve maternal health Breastfeeding is associated with decreased maternal postpartum blood loss, breast cancer, ovarian cancer, endometrial cancer, and the likelihood of bone loss post-menopause. Breastfeeding also contributes to contraception and child spacing, reducing maternal risks of pregnancies too close together, for example anemia. 6. Combat HIV/AIDS, malaria, and other diseases Exclusive breastfeeding together with antiretroviral therapy for mothers and babies can significantly reduce the transmission of HIV from mother to child. More importantly, breastfeeding reduces the death rate in babies exposed to HIV, thus increasing the rate of HIV-free survival. 7. Ensure environmental sustainability Breastfeeding entails less waste when compared to formula production involving the dairy, pharmaceutical, plastics, and aluminum industries, and reduces the use of firewood and fossil fuels in the home. With breastfeeding we have a healthy, viable, non-polluting, non-resources intensive, sustainable, and natural source of nutrition and sustenance. 8. Develop a global partnership for development The Global Strategy for Infant and Young Child Feeding (GSIYCF) fosters multisectoral collaboration, and can build upon various partnerships for support of development through breastfeeding and complementary feeding programs.
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get fit with kim MONEY, TIME, AND CALORIE SAVER: A FAVORITE KITCHEN TOOL
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ne of my very favorite kitchen tools is cheap, extremely versatile, and is something you already own. Ice cube trays are the most overlooked yet indispensable item in the kitchen, in my opinion. Besides making ice for your drinks, ice cube trays can save you money, time and even calories. They may actually be one of the most effective weight loss tools you have. Here’s how I use my ice cube trays. Canned goods: You don’t have to toss out unused broths or tomato sauce any longer. Just fill your ice cube trays with any leftovers and freeze for use later. Add the frozen cubes to soups, pasta dishes, sauces, or mashed potatoes. Juice: Freeze juice from fresh-squeezed lemons, limes, and oranges to add flavors to water. Freeze leftover apple or other unsweetened fruit juices to add a touch of sweetness to sauces, yogurt, oatmeal, baked goods, or seltzer without excess calories or sugar. Herbs: Whether you grow your own or buy them fresh at the store, seldom does the entire bunch of herbs get used. Instead of tossing them out, stuff washed and chopped herbs like basil, oregano, rosemary, and cilantro into each section of the ice cube tray and fill with broth or water. Lemon or lime juice works well, too. Pop the frozen herb cubes out and store in a freezer bag. Add them to soups, sauces, and whole grains like rice for a flavor boost without a lot of calories. The ready-to-go herb cubes save you time and money. Smoothies: Make an extra large batch of your favorite smoothie recipe when fruit is overripe or
on sale. Fill an ice cube tray, freeze, and store in a freezer bag. When you need a quick healthy breakfast or snack, pop the cubes in a blender with a little water or almond milk and blend smooth. Fruit: Puree fruit such as strawberries, peaches, pineapple, berries, or a combination of fruits and freeze. Pop out a cube or two and stir into plain yogurt—it contains fewer calories than store-bought brands that have added sugar and artificial ingredients. You can also add the pureed fruit cubes to sweeten oatmeal or thaw them and top pancakes instead of high-calorie syrup. Veggies: Freeze pureed veggies like kale, spinach, sweet potato, beets, and carrot to add extra fiber and nutrients to soups, baked goods, smoothies, cooked whole grains, pancake batter, and pasta dishes. Adding fiber will fill you up so you eat less and it also keeps you feeling full longer so you’re not tempted to reach for highcalorie snacks. Leftover coffee: No need to polish off the entire pot of coffee. Freeze it instead and you can use the frozen coffee cubes in recipes later. Or microwave a quick cup of coffee without the wait. These are just a few ways I use my ice cube trays. For more ways to use leftovers and ice cube trays, join me in my cooking classes. Special thanks to this month’s contributor: Kim Clinkenbeard, CPT, FNS getfitwithkim@cableone.net
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woof, woof!
the dog blog by mindy
Keliree Mitchell founded Petspotters, a Facebook site dedicated to connecting lost pets with their owners after losing her own pet Chihuahua, Mindy. Woof, Woof! represents stories related to this site and is dedicated to Mindy.
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y neighbor came over the other day to let me know she was missing her little white Pomeranian. She was searching the whole neighborhood and was very upset. I stood with her for a while and listened to the story of what she thought may have happened. Tears were slowly rolling down her cheeks as she spoke and I felt so bad for her. Suddenly, after all this time, I was right there in the same emotional place she was, missing my girl Mindy. I think time eventually lets you move on, but I don’t think you ever get over losing a pet you love. I know that when I tell the story of losing her, I can get teary-eyed pretty quickly.
pictures my grandson took of the ceiling fan and the floor and blurry pictures of the TV. I had pictures of her but none were very good for one reason or another, so it was pure luck I found one that showed her whole body, her white chest, and white paw. The picture of the whole dog counts because rescuers use it to compare with the dogs that have been found that fit the description. After a picture is loaded, you can post a comment along with it. The comment must include a way to contact you. If you want your dog back, a phone number is best. If you do not want to post your phone number with the comment, then you can send a private message to Petspotters and give your phone number to the admin of the page. Then in your comment, please say to contact Petspotters for the phone number. I personally didn’t have any problem putting my number on the page because I wanted every single call I could get.
Having the right information is the number one way dogs make it back home.
I told my neighbor about Petspotters and that I would be happy to post a photo and contact information for her. But she didn’t have a photo. Knowing there was no photo made me feel even worse for her, because without it, the chances become even slimmer in getting her dog back. Just posting a description doesn’t do much because so many dogs can fit that description. Having the right information is the number one way dogs make it back home. Petspotters is the page made to help you find your lost pet. That is the mission of the page and because of all the great people behind the page and the network of rescuers, the page is very successful. But you must have the right information. I can’t stress enough that you have a current picture of your pet. I have always taken pictures of the dogs, but there is the one great photo that you need for just in case. After sorting through hundreds of family photos, I found the cover picture of Mindy among some 20 august 2014 an apple a day
All I can tell you, is Petspotters is here to help. Yes, it can be very frustrating, very emotional at times, but also very rewarding. Every person has a longing to be significant; to make a contribution; to be a part of something noble and purposeful. –John C. Maxwell
Special thanks to this month’s contributor: Keliree Mitchell Founder, Petspotters www.facebook.com/petspotters
Cooking With Kim 2014 Summer Class Schedule August 7th - Cook From Your Pantry & Freezer Learn how to keep foods on hand to prepare quick meals for your family when you didn’t have time to prepare. It’s faster than the drive-thru! Each class is $25 (payment and registration required prior to class). To register and pay, or ask questions, contact me at 432–557–5001 or getfitwithkim@cableone.net. Classes are filling up quickly! Classes for private groups and parties are also available–choose your own menu and class date! You can also prepay and register for every scheduled class and you are guaranteed the recipes for those classes whether you can attend or not. Contact me for details!
Sneek Peek! Fall 2014 Cooking Class Dates September 4th • September 18th • October 9th • October 23rd • November 6th
Do you
apples? How about this apple? An Apple a Day is now on Facebook! “Like� our page to read the latest stories, comment, and share articles online. www.facebook.com/anapplemag
health & beauty
ARE YOU WEARING OLD MAKEUP? WHEN TO THROW AWAY COSMETICS
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ost women have no idea makeup has a shelf life or that old makeup can even pose a danger. Makeup packaging from Cover Girl, Sephora, and the hundreds of other brands don’t warn you of this fact. But the truth is, cosmetics don’t last forever! Use these tips to learn how to tell when you should discard your makeup products. EYE MAKEUP (LASTS 3 MONTHS) Eye makeup has a shorter shelf life than most other beauty products, with dermatologists recommending users throw their products away at least every three months. This includes mascara, eyeliner, and eye shadow. Tubes of mascara and other eye beauty products can trap bacteria and cause an eye infection. So, don’t wait until the tube is dried up before tossing it. Instead, be sure to switch out old products at least four times a year. Of course, many women go through a tube of mascara in less than three months. So, this is likely not a huge issue for those who wear makeup every day. FOUNDATION AND CONCEALER (LASTS UP TO 1 YEAR) Keeping your foundation or concealer for longer than one year can be terrible for your skin and can cause you to break out, which is why beauty experts suggest you toss them out after 12 months. Although some brands won’t last this long, most water-based foundations will keep well if you shake the bottles periodically and use a brush or sponge to apply them. If the product begins to crack or get dry before the one-year mark, go ahead and toss it out early. POWDER PRODUCTS (LASTS ABOUT 2 YEARS) Powders can last longer than most other makeup products, with a shelf life of around two years. When your bronzer or blush starts to flake or darken, it’s time to throw it out. Of course, bacteria can still form on pressed powders, so be sure to wipe the
top layer off of these on a regular basis to prevent it from happening. LIP COLOR (LASTS FOR 6 MONTHS) The shelf life of lipstick and lip gloss is around six months. These products don’t really expire, but at the six-month mark there is a high chance they are harvesting bacteria and germs. Sometimes women can’t recall when they purchased a tube of lipstick they don’t use every day. A good rule of thumb is to smell the tube and if it smells like crayons, toss it. Those glosses that are in a squeeze tube can usually last a little longer than six months, because fewer germs enter the tube. So, if you want to stretch your dollar, choosing this type might be helpful. CLEANSERS AND MOISTURIZERS (GOOD FOR UP TO 6 MONTHS) In fact, when you toss out your lipsticks it’s also a great time to get rid of moisturizers and cleansers you’ve not used up. The danger in keeping these longer is entwined in the fact these products contain fatty acids that can spoil in about six months and cause allergic reactions or other problems. This can lead to an expensive trip to the dermatologist for medication to soothe your angry skin. HOW TO STORE YOUR MAKEUP PROPERLY For smooth application and to encourage your products to last longer, it’s important you store your makeup in a cool location. It doesn’t matter if you put your products in a makeup case or a zipped cosmetic bag, as long as the products aren’t kept in significant heat. Otherwise, the ingredients could separate and some products can even spoil, causing allergic reactions or foul smells.
This month's article courtesy of www.freebeautytips.org
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PB&J Bites
by Kim Clinkenbeard, CPT, FNS Ice cube trays 1/2 cup natural organic peanut butter (almond and cashew butters work great too) 1 cup fresh or frozen strawberries, thawed (or any other fruit of your choice) In a blender, puree the strawberries until smooth. Add the peanut butter and pulse until combined. Fill the ice cube trays with the mixture and freeze. Pop the cubes into a freezer bag and you have a quick treat ready for the kids after school. These also make a great addition to any post-workout smoothie or your morning oatmeal. Play around with the ratio of peanut butter to strawberries. If you like more of either, go for it!
distribution points MIDLAND Albertsons Pharmacy 1002 Andrews Hwy. 4706 N. Midkiff Rd. 3317 N. Midland Dr.
Midland Memorial Hospital Scharbauer Patient Tower 400 Rosalind Redfern Grover Parkway
Fit Family Fitness 3404 N. Midland Dr.
Midland Memorial Hospital West Campus 4214 Andrews Hwy.
Flat Belly Organics 3326 N. Midkiff Rd.
Palmer Drug Abuse Program 1208 W. Wall St.
Graham Pharmacy 1601 W. Wall St. HealthSouth 1800 Heritage Blvd. HEB Pharmacy 3325 W. Wadley Ave. Midland Memorial Hospital 2200 W. Illinois Ave.
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St. Joseph’s Home Health 24 Smith Rd., Ste. 500 Walgreens Drug Store 3221 W. Wadley Ave. 215 Andrews Hwy. 4313 Andrews Hwy. 3201 N. Big Spring St. ODESSA Albertsons Pharmacy 1350 E. 8th St. 4950 E. 42nd St. 2751 N. County Road W.
First Baptist Church 709 N. Lee Furr’s Music City Mall Harmony Health Food Shoppe 3110 E. University Blvd., Ste. A Heaven Bound Daycare 507 Elliot HEB Pharmacy 3801 E. 42nd St. Hunt Advertising 3527 Billy Hext Rd. Medical Center Hospital 500 W. 4th St. Mission Fitness 8050 Hwy. 191
The Odessa Family Y 3001 E. University Odessa Regional Medical Center 520 E. 6th St. Permian Basin Rehab Center 620 N. Alleghaney River of Life Health Food Shop 2601 N. Grandview Ave. Smith’s Shoes 5101 Twin Towers Super Shapes 5000 E. University Blvd. University Pharmacy and Medical Supplies 4850 E. University Blvd.
Walgreens Drug Store 801 Maple Ave. 2161 E. 42nd St. 1305 W. University Blvd. 1707 W. 8th St. Walmart Clinic 4210 JBS Parkway 2450 West Loop 338 Wendover Family Medicine 4222 Wendover, Ste. 600 Westview Medical Clinic 1220 W. University Blvd. Wheatley Stewart Medical Pavilion 574 W. 5th St.
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FREEDOM 5251 E. 42nd St. • Odessa, TX • (432) 550–9950 • www.freedombg.com Certified Service